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care caseloads, or be a Work First family. These are the only programs serving children. There are very few preventive services. Commissioner Halkiotis said that there was a model a long time ago where the schools would have social workers and nurses. He thinks that schools want to have their own nurses, social workers, and psychologists. He thinks there might be some duplication of services. Commissioner Brown asked about the definition of a social worker. Nancy Calton said that the preferred degree is MSW, but they will hire someone with a BSW. John Link said that this concludes the new positions requested from department heads. There are some positions that will be discussed on Thursday -Staff Attorney, Animal Services Director, and the final transition of Emergency Medical Technicians from rescue squad. There are four existing positions -Elder Care Manager {changed from one in OPT to addressing the frail and elderly population); Finance Director Ken Chavious wants to increase one of his positions from 3/4 time to full time; a Social Worker I II in the Health Department to go from half to full-time; and a Nurse Practitioner going from half to full-time to address the primary care initiatives in the Health Department. Commissioner Halkiotis said that he heard last night on the news that they are delaying the shutting down of certain services at Dorothea Dix because the private sector has not came to provide the services. He asked the Manager to convene a group to discuss the decentralization of mental health. He is worried about this. Commissioner Brown said that it is difficult to know now what the County will be facing. She thinks the County will have to come up with a lot more money to maintain the current services Chair Jacobs made reference to the total changes to existing positions of $34,6Q0 {p. 23}. He asked what was meant by "position costs after this fiscal year." Paul Laughton said that this would be the costs for next fiscal year, less the startup costs. Chair Jacobs asked several other clarifying questions, which were answered by the staff. Commissioner Carey made reference to the pink sheet and the vacant positions for EMT that were closed for recruiting and asked what this meant. Rod Visser said that there are some prospects for these positions to fill four of the EMT positions and one of the paramedics. There were some disagreements between Personnel and EMS regarding information needed on the applicants. They are extending the recruitment for another couple of weeks. Commissioner Carey asked about the Family Nurse Practitioner I position for the jail and John Link said that this position would not be filled this year. It is currently being contracted out. Commissioner Carey said that in cases like this, the positions should be cleared off the books if they are not needed. He said that the same is true for the Health Educator position, due to the decline in syphilis cases. He said that his concern is that if you reduce prevention, you will get a bump in cases. If the position is not needed, it should be cleared from the books. Commissioner Halkiotis asked about the total amount of money that was not spent on these positions on the multi-colored sheets. Donna Dean said that they do not have numbers. The dark green sheet outlines lapsed salaries.